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The Journal of Mental Health Training, Education and Practice, vol.12, no.4 Special Issue - Mental health pathways for people with intellectual disabilities: the education, training and practice implications

CHARNOCK, David
WRIGHT, Nicola
Eds
November 2017

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"This special edition aims to address some of the complexities and challenges faced in mainstream mental health services in three ways. First, to highlight the specific needs of people with intellectual disabilities and mental health problems. Second, to promote the importance of interdisciplinary working and learning in relation to mental wellbeing and intellectual disability, showcasing innovative approaches to care and finally, to offer a voice to specialists from intellectual disability practice and research to foster practical and conceptual thinking in relation to this group of service users"

There is a freely accessible editorial and there are six papers:

  • People with intellectual disabilities accessing mainstream mental health services: some facts, features and professional considerations
  • Psychiatry and intellectual disabilities: navigating complexity and context
  • Development and dissemination of a core competency framework
  • Mental health staff views on improving burnout and mental toughness
  • Using wordless books to support clinical consultations
  • Actors with intellectual disabilities in mental health simulation training

Full articles are not free.

Healthcare provider's attitude towards disability and experience of women with disabilities in the use of maternal healthcare service in rural Nepal

DEVKOTA, Hridaya Raj
KETT, Maria
GROCE, Nora
MURRAY, Emily
June 2017

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BACKGROUND:
Women with disabilities are less likely to receive maternal healthcare services compared to women without disabilities. While few studies have reviewed healthcare experience of women with disabilities, no studies have been conducted to understand provider's attitude towards disability in Nepal, yet the attitude and behaviour of healthcare providers may have a significant influence on aspects of care and the use of service by women with disabilities. This study examines healthcare provider's attitudes towards disability and explores the experience of women with disabilities in maternal healthcare service utilization during pregnancy and childbirth.

METHOD:
The study used mixed method approach. An attitude survey was conducted among 396 healthcare providers currently working in public health facilities in Rupandehi district of Nepal. For additional insight, eighteen in-depth interviews with women with disabilities who used maternal healthcare services in a healthcare facility within the study district in their last pregnancy were undertaken. The Attitude Towards Disabled Persons (ATDP) scale score was used to measure the attitudes of healthcare providers. For quantitative data, univariate and multivariate analysis using ANOVA was used to understand the association between outcome and independent variables and qualitative analysis generated and described themes.

Reproductive Health, 2017

The balanced counseling strategy plus : a toolkit for family planning service providers working in high HIV/STI prevalence settings

POPULATION COUNCIL
2011

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"This "is an interactive, client-friendly approach for improving counseling on family planning and prevention, detection, and treatment of sexually transmitted infections (STIs) including HIV. The BCS+ was adapted from the Balanced Counseling Strategy, an evidence-based and well-researched tool for improving counseling on contraceptive methods. The BCS+ toolkit, developed and tested in Kenya and South Africa, provides the information and materials needed for health care facility providers to provide complete and high-quality family planning counseling to clients who live in areas with high rates of HIV and STIs.The BCS+ tools are generic and can be revised according to national and/or regional guidelines and different contexts
This second edition toolkit includes the following: * BCS+ Trainer’s Guide: Supervisors and others can use this to train health care facility directors and service providers on how to use the BCS+ for counseling family planning clients. * BCS+ User’s Guide: This guide focuses on how to implement the Balanced Counseling Strategy Plus. It can be distributed during training or used on its own with the BCS+ job aids. * BCS+ job aids comprising: - BCS+ algorithm that summarizes the 19 steps needed to implement the BCS+ during a family planning counseling session. These steps are organized into four stages: pre-choice, method choice, post-choice, and STI/HIV counseling. - BCS+ counseling cards that the provider uses during a counseling session. There are 26 counseling cards, the first of which contains six questions that the service provider asks to rule out the possibility a client is pregnant. Each of the next 16 cards contains information about a different family planning method. The next 3 cards provide advice on pregnancy and the postpartum period. The last 6 cards provide essential information for counseling on preventing, detecting, and treating STIs and HIV. - BCS+ method brochures on each of the 16 methods represented by the counseling cards. The brochures provide counseling to clients on the method they have chosen and then are given to clients for later reference. This means clients do not have to rely on their recollection of what was discussed with the provider. - WHO Medical Eligibility Criteria Wheel (offsite link) guides providers through medical conditions and medications that may be contraindications to use of particular contraceptive methods. The BCS+ tools are generic and can be revised according to national and/or regional guidelines and different contexts"
A video describing use of the BCS+ toolkit in South Africa also is available. To obtain Microsoft Word versions of BCS+ files to modify or revise according to your local setting, please contact the publisher

Quest for quality : interventions to improve human resources for health among faith-based organisations

ADJEI, George A
et al
February 2009

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"Traditionally, faith-based health organisations have been important health care providers in many remote and other under-serviced areas. Currently, these facilities bear the brunt of the competition for scarce human resources. It is important for faith-based organisations to learn from recent experiences and from the creative ways in which colleagues seek to retain their health workers and improve quality of human resource management. [As part of a]"...linking and learning programme, some faith-based umbrella organisations in Tanzania, Ghana, Uganda, and Malawi have joined forces to share their experiences in confronting the human resources crisis: by developing retention schemes, offering in-service training, task shifting, developing the planning and management skills of their staff, better coordination of salary and incentive structures with the public systems, and the development of lobbying instruments for national and international use"

Does shortening the training on integrated management of childhood illness guidelines reduce effectiveness? results of a systematic review|Final report

ROWE, Alexander K
et al
2008

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This comprehensive report presents the findings of a systematic review of the effectiveness of shortening Integrated Management of Childhood Illness (IMCI) strategy training. The results are useful for NGOs and other national and international bodies working in the field of childhood illness
Health Policy and Planning (in press)

Task shifting : rational redistribution of tasks among health workforce teams : global recommendations and guidelines

WORLD HEALTH ORGANIZATION (WHO)
2008

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These guidelines and 22 recommendations are designed to support for countries that face a high HIV burden and acute shortages within the health workforce. Task shifting involves the rational redistribution of tasks among health workforce teams. Specific tasks are moved, where appropriate, from highly qualified health workers to health workers with shorter training and fewer qualifications in order to make more efficient use of the available human resources for health. The key elements that must be in place if the approach is to prove safe, efficient, effective, equitable and sustainable, cover the need for consultation, situation analysis and national endorsement, and for an enabling regulatory framework. They specify the quality assurance mechanisms, including standardised training, supportive supervision, and certification and assessment, that will be important to ensure quality of care

Sexual and reproductive health for HIV-positive women and adolescent girls : mannual for trainers and programme managers

BELL, Emma
PERCHAL, Paul
2006

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This manual is designed to provide information and structure for a four-day training and a two-day planning workshop that will enable programme managers and health workers in resource-constrained settings to offer comprehensive, non-judgemental, and quality care and support to HIV-positive women and adolescent girls in the local context. The manual also encourages male involvement and promotes a holistic approach to integrated sexual and reproductive health (SRH) counselling and programme planning that links SRH and HIV and AIDS services

Working together for health : the world health report 2006

WORLD HEALTH ORGANIZATION
2006

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"The 'World Health Report 2006 - Working together for health' contains both an expert assessment of the current crisis in the global health workforce and an ambitious set of proposals to tackle it over the next ten years, starting immediately"

Outreach workers training in rehabilitation

FRANCK, Bernard
2004

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This training manual was developed from an outreach worker training from physical rehabilitation centres (PRC) in Cambodia. The 100 hour training is divided into two parts: a theorical part organised in the PRC and a practical part organised in the field. Case studies, presentations and individual practical job training are provided in addition to pre and post tests to evaluate knowledge acquisition

HIV/AIDS care and treatment : a clinical course for people caring for people living with HIV/AIDS [participant manual]

IMPLEMENTING AIDS PREVENTION AND CARE PROJECT (IMPACT)
2004

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The "HIV/AIDS Care and Treatment Participant Guide" presents new knowledge and skills for delivering and organising clinical care and treatment services for people living with HIV/AIDS. The course is divided into 7 modules covering HIV prevention and care issues; managing patients with HIV related diseases; managing women and children with HIV; antiretroviral therapy; supporting people with HIV/AIDS; managing patients on antiretroviral treatment; and TB, women, children and post-exposure prophylaxis. A facilitator's guide accompanies this manual

HIV/AIDS care and treatment : a clinical course for people caring for people living with HIV/AIDS [facilitator's guide]

IMPLEMENTING AIDS PREVENTION AND CARE PROJECT (IMPACT)
2004

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The "HIV/AIDS Care and Treatment Participant Guide" presents new knowledge and skills for delivering and organising clinical care and treatment services for people living with HIV/AIDS. The course is divided into 7 modules covering HIV prevention and care issues; managing poatients with HIV related diseases; managing women and children with HIV; antiretroviral therapy; supporting people with HIV/AIDS; managing patients on antiretroviral treatment; and TB, women, children and post-exposure prophylaxis. A participant manual accompanies this manual

Hepatitis B vaccine introduction : lessons learned in advocacy, communication, and training

WITTLETT, Scott
January 2001

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Hepatitis B is especially dangerous for infants, since they may carry the infection for the rest of their lives without knowing it. Chronic carriers can infect others and are at risk of serious liver disease in later life. However, the hepatitis B vaccine, if provided, helps protect infants against these problems. The vaccine's introduction to developing countries only began in the late 1980s, but many countries still cannot afford to administer the vaccine to all children. This paper summarises the lessons learned about effective advocacy with decision makers, communication with parents and caretakers, and training health staff regarding hepatitis B, gained from over ten years of experience introducing hepatitis B vaccine worldwide. It also includes the WHO 'aide-memoire' on hepatitis B

Improving provider-client communication : reinforcing IPC/C training in Indonesia and self-assessment and peer review

KIM, Y M
et al
2000

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Report of a study that tested the effectiveness of two low-cost alternatives to supervision (self-assessment and peer review) that may reinforce providers' skills after training. The performance of 3 groups of providers, who attend family planning clients was compared. Provider-client interactions were improved in the groups undergoing peer review or self-assessment, as was the level of facilitative communication. The level of information-giving was not improved in the control group or the groups undergoing peer review or self-assessment

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